The role of telemedicine in CPAP compliance for patients with obstructive sleep apnea syndrome

• Published in: Sleep & breathing Vol. 10; no. 3; pp. 132 - 138
• Main Authors: TAYLOR, Yvonne, ELIASSON, Arn, ANDRADA, Teotimo, KRISTO, David, HOWARD, Robin
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.09.2006; Springer Nature B.V
• Subjects: Adult; Biological and medical sciences; Continuous positive airway pressure; Continuous Positive Airway Pressure - psychology; Continuous Positive Airway Pressure - statistics & numerical data; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes; Expert Systems - instrumentation; Female; Follow-Up Studies; Fundamental and applied biological sciences. Psychology; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Internet; Male; Medical sciences; Microcomputers; Middle Aged; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis; Nervous system (semeiology, syndromes); Neurology; Patient Compliance - psychology; Patient Compliance - statistics & numerical data; Patient Satisfaction - statistics & numerical data; Practice Guidelines as Topic; Prospective Studies; Remote Consultation - instrumentation; Sleep apnea; Sleep Apnea, Obstructive - psychology; Sleep Apnea, Obstructive - therapy; Sleep disorders; Sleep. Vigilance; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Vertebrates: nervous system and sense organs; Human; Sleep apnea syndrome; Nervous system diseases; Night; Respiratory disease; Satisfaction; Sleep disorder; Care; Sleep; Treatment; Sleep apnea, CPAP; Positive pressure; Telemedicine; Feedback; Efficiency; Computer; Models; Sleep wake cycle; Internet; Neurological disorder; Comparative study
• ISSN: 1520-9512; 1522-1709
• DOI: 10.1007/s11325-006-0059-9

The objective of this study was to compare continuous positive airway pressure (CPAP) use, functional status, and client satisfaction in obstructive sleep apnea syndrome (OSAS) patients randomized to either telemedicine support or traditional care. In our university-affiliated sleep disorders center, patients with OSAS who were initiating CPAP therapy were randomized to receive telemedicine support vs traditional follow-up care for 30 days. The telemedicine group received a "Health Buddy" computer that provided daily Internet-based informational support and feedback for problems experienced with CPAP use. At 30 days, there were no significant differences in the hours of CPAP use between groups receiving traditional care (M = 4.22, SD+/-2.05) and telemedicine support (M = 4.29, SD+/-2.15), p = 0.87, or in the proportion of nights with CPAP use between the traditional (M = 50%+/-33.8) and telemedicine groups (M = 47%+/-34.2), p=0.61. No significant differences were found between groups in functional status (M = 2.27+/-4.56 vs M = 2.03+/-3.88, respectively, p = 0.76) or client satisfaction (M = 28.0+/-3.51 vs M = 28.5+/-3.05, p = 0.43). Patients in the telemedicine and traditional groups had similar CPAP use, functional status, and client satisfaction. The data suggest that telemedicine support as provided by our model compares favorably with traditional care. As a provider-extender, telemedicine support for patients initiating use of CPAP may allow for greater practice efficiency while maintaining quality of care.